Palliative care is presently the branch of medicine that is the most concerned with the relief of suffering as such. A concept of 'total pain' was thought of by pioneer Cicely Saunders for referring to the whole set of physical and mental distress, discomfort, symptoms, problems or needs that are painfully experienced by a patient. Textbooks authors like Robert Twycross or Roger Woodruff are now rather using the expression ‘total suffering’.[8]

Health care approaches to suffering remain highly problematic, according to Eric Cassell, which is the most often cited author on that subject: "The obligation of physicians to relieve human suffering stretches back to antiquity. Despite this fact, little attention is explicitly given to the problem of suffering in medical education, research or practice." "In fact, the central assumptions on which twentieth-century medicine is founded provide no basis for an understanding of suffering. For pain, difficulty in breathing, or other afflictions of the body, superbly yes; for suffering, no." Cassell proposes to define suffering as "the state of severe distress associated with events that threaten the intactness of the person."[9]

Introduction

It is proposed to develop a new domain of work concerned with the whole set of things that relate to suffering.
It is suggested to name algonomy this new domain of work.
Posts here focus on various documents and events where people speak of suffering as a primary concern. The intended goal is to develop algonomy by linking up with people who are the most likely to benefit from or to contribute to the new domain.